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Do I recall that during the SARS epidemic in Toronto, some people got infected at a wake in a funeral home?
Yes, the number was high. They also belonged to the same religious group which involved hugging and kissing, so there was contact, but not limited to funeral.
Indonesian woman dies of suspected bird flu
18 Aug 2006 10:18:05 GMT
<!-- 18 Aug 2006 10:18:05 GMT ## for search indexer, do not remove-->Source: Reuters
<!-- AN5.0: background end -->
<!-- AN5.0: inline article box end --><SCRIPT language=JavaScript src="/bin/js/article.js"></SCRIPT>JAKARTA, Aug 18 (Reuters) - A 35-year-old woman with bird flu symptoms from an Indonesian village which has seen a number of other confirmed or suspected cases of the disease in humans has died, a hospital official said on Friday.
But a government official denied that the cases in the West Javan village of Cikelet, described by officials as rife with the H5N1 virus, pointed to a possible new cluster case.
"Last night a patient was referred by a doctor in Garut with symptoms of suspected avian influenza such as breathlessness and high temperature, so we isolated her and planned to send her to Bandung hospital," said Yogie Prayogi, spokesman at Dr Slamet Hospital. "But she died before we could bring her".
He said that blood samples had been sent for testing.
A 9-year-old girl from Cikelet, which is in the Garut region, died of bird flu this week according to two local tests, taking Indonesia's confirmed toll from the disease to 45, the highest of any country.
A 17-year-old youth from the remote village, actually a number of hamlets, about 90 km (55 miles) south of Bandung, has also tested positive for H5N1, but he has stayed at home after refusing to be hospitalised.
Another man also died this month with bird flu-like symptoms but samples could not be taken.
Bayu Krisnamurthi, head of the national committee on Avian Influenza Control and Pandemic Preparedness, said authorities were monitoring the 17-year-old at his home and there was no sign of infection among his family members.
He said that a 5-year-old girl and a 6-year-old girl suffering from bird flu symptoms had also been taken to hospital after house-to-house checks in the village.
But he said that there was no evidence of human-to-human transmission.
"All the cases are not clusters because they are from different hamlets," he said by telephone.
The official said that up to Thursday about 3,800 birds had been culled in the village area.
Indonesia has seen a steady increase in human bird flu deaths this year and the virus is endemic in poultry in nearly all of the provinces of the sprawling archipelago.
The country, which has been criticised for not doing enough to stamp out H5N1, has shied away from mass culling of poultry so far citing the expense and the logistical difficulties given the millions of backyard fowl.
Fears that the virus had mutated into a form that could pass easily between humans heightened in May when seven people from an extended family died of the disease in North Sumatra.
It was the biggest cluster the country has recorded.
The virus remains essentially an animal disease but experts fear it could spark a pandemic if it mutates into a form that can pass easily between humans.
Yes, the number was high. They also belonged to the same religious group which involved hugging and kissing, so there was contact, but not limited to funeral.
I would think that most human beings, regardless of religion, would feel pained and express grief at a loved one passing away; in which case, it's only normal that one would want to console the crying/sobbing aggrieved with hugs and kisses. And such displays of comfort are not limited between family members. Perfect strangers will comfort aggrieved parents/spouses in this way, regardless of religion, not just at a wake, but also in the procession before and after burial. Was there anything more in the behaviour of these sect members that would increase the likelihood of infection? Or were the usual displays of consoling enough to trigger contagion?
Up to now, possible H2H contagion in Indonesia was described as "very close contact" as in mother hugging child for hours, cleaning body wastes, etc. If people attending a funeral in Indonesia should display bird flu symptoms after mere "comforting" contacts, without (again) any animal contacts, then wouldn't this be very bad news indeed?
"He said that a 5-year-old girl and a 6-year-old girl suffering from bird flu symptoms had also been taken to hospital after house-to-house checks in the village."
[Please reassure me that this is just a typo mistake, as our records indicate a boy and a girl - not two girls]
"He said that a 5-year-old girl and a 6-year-old girl suffering from bird flu symptoms had also been taken to hospital after house-to-house checks in the village."
[Please reassure me that this is just a typo mistake, as our records indicate a boy and a girl - not two girls]
toggletext frequently switches genders in translation. I think both are girls and there is no evidnece for a 5 or 6 year old boy at this time.
Gender is the least reliable identifier when using toggletext.
Suspected Indonesian bird flu victim dies, three others hospitalised <!-- END HEADLINE --><!-- BEGIN STORY BODY -->54 minutes ago
An Indonesian woman suspected of being infected with bird flu has died, while another three from the same West Java district were hospitalised on suspicion of contracting the deadly virus.
The woman, 35, who died Thursday night after displaying symptoms of the H5N1 virus came from Cikelet, the same district as Indonesia's latest bird flu fatality, health officials said.
"Euis Lina died Thursday night," Nurdin, a scientist from the Bird Flu Information Centre told AFP on Friday.
Three other people -- five-year-old Isma, six-year-old girl called Santi, and a 35-year-old woman called Esih -- also from Cikelet, were hospitalised Thursday evening as the health ministry launched an investigation into whether human-to-human transmission of the virus may have occurred.
"They are suspected of being infected with bird flu," said Nurdin, adding that they were being treated in isolation units in the Hasan Sadikin Hospital, in Bandung, provincial capital of West Java.
The health ministry and the World Health Organisation (WHO) were dispatched Thursday to investigate the remote area for the possibility of a cluster case, after a nine-year-old girl from the district was confirmed as the country's 45th bird flu fatality.
Cluster cases heighten the chance of the virus mutating to become easily transmissible between humans. Scientists fear this could spark a global pandemic with the potential to kill millions.
However it was not clear whether any one of other four suspected bird flu cases had any contact with the nine-year-old girl, who died earlier this week, or with 17-year-old Umar Aup, also from Cikelet, who tested positive for the virus and is still alive, said Nurdin.
All six came from the subdistrict, but lived in different villages, said Nurdin.
Aup's 20-year-old cousin Misbah, another suspected bird flu case who died earlier this month, was buried before tests could be carried out.
Indonesia has the world's highest rate of human avian influenza fatalities. The human death toll from bird flu in Indonesia has been steadily rising since its first reported case in July last year. The H5N1 virus has been found in 28 of Indonesia's 33 provinces amid criticism that it has not done enough to curb the virus' spread.
Bandung: two citizens Cikelet, the Garut Regency, West Java, that became the patient suspect or was suspected bird flu was still being treated in Special Isolation Space the Sufferer the respiratory Infection spread, the Handsome Sadikin Hospital, Bandung, West Java, on Friday (18/8).
However, the two patients did not make use of the ventilator or respiratory aids.According to the hospital side, the condition for the two patients generally began menunjukan the improvement.The temperature of the body both of them currently 37 Celsius levels.
The two patients were Santi and Isma.At this time, the hospital side was still being waiting for results of the test labolatoriun the sample of blood of the two patients.However, saw the clinical sign as well as the story of contact with the poultry that died suddenly, the hospital side treated both of them with the standard penangangan the bird flu illness.
Several last weeks were in the Jojok Village, the Cikeulet Village, found by several citizens was sick that it was suspected suffered bird flu.
Two including being Santi and Isma.Whereas someone still namely Umar that was proven is infected by bird flu up to now still lived in this village.
Beforehand, two people died it was suspected resulting from bird flu.The two casualties were Ai Siti Aminah and his mother Euis Lina.The Jojok village was located in south the capital of the Garut Regency.
To head the village that be at a distance more than 100 kilometre from the Garut City must be followed for more than four hours.The road headed this village could be only followed by the wheel vehicle two.Most of the inhabitants's livelihoods of this village were farming and the worker.For this village community maintained the chicken became the family's tradition for generations.The chicken coop in placed under their house on stilts.(BEY)
</PRE>
Health Minister Siti Fadilah Supari ascertained two Garut citizens, West Java, positive was infected by bird flu.
However, the source of the spread of this deadly virus was not yet known.
Now for the extermination of the poultry that it was suspected was infected by bird flu was handed over to the Department of Agriculture.
Was like this was sent by Siti in Jakarta, on Friday (18/8).
One of the Garut citizens that was expected terjangkit bird flu was Santi.
The condition for the child eight years improved after being treated in the Handsome Sadikin Public Hospital, Bandung.
The temperature of the citizen's body of the Jojok Village, the Cikeuleut Village, of Garut, this began to descend.
Respiratory aids like that often was put on by the bird flu patient also has been released.
So also with the Ismawati condition that remained a village with Santi.
The condition for the child was five years old gradually got good with the temperature of his body descended.
The hospital side confirmed, generally the condition for Santi's health and Ismawati improved.
As far as this is concerned, the medical team was still being waiting for results of the test of blood of the two patients of the sample laboratory.
However, the side RS Handsome Sadikin was still treating the two patients with the standard of the handling of the bird flu illness because of seeing the clinical sign as well as the story of contact with the poultry that died suddenly
The reports appear to be contradictory. The above report indicates there is only one female in her 30's and one 9 year old (confirmed and daughter of most recent fatality).
A bird flu patient died in Garut, West Java, on Thursday night (17/8).
Casualties that could be treated in the doctor's Hospital Slamet, Garut was named Euslina, 35 years.
Therefore, there were two villagers Cikeuleut, Pameungpeuk, of Garut, that died with the assumption tertular bird flu in a last week [read: the Bird Flu Patient in Garut died].
Including Euslina, there were five Garut citizens that terjangkit bird flu.
Santi, the inhabitants of the Jojok Village, Garut, was run off with to the Handsome Sadikin Hospital, Bandung, West Java, last night.
The girl eight years were isolated in Poinciana Tree Space to be treated more intensive [read: the Patient the Assumption of Bird Flu in RSHS improved].
Was different to Santi, Umar that also was sentenced suffered bird flu chose to come home because of not having the cost.
The Umar condition a little fresher in the Aud maintenance, his father.
Be proper for the doctor, Aud checked Umar with the stethoscope and gave medicine from the traditional ingredients that was believed in could cure bird flu.
As far as this is concerned, the number of bird flu patients in Indonesia reached 61 people.
Now the patient that died 48 people.
This was the highest figure of the bird flu patient in the world for the last one years.
To anticipate fell casualties more, the Government of the Dairi Regency, North Sumatra, destroyed approximately seven thousand poultries in two subdistricts.
This extermination was carried out after a week set several poultries died suddenly.
His plan the citizen will be given by Rp compensation 12.
500 per the poultry.
Officially Dairi Regency Livestock Breeding gathered poultries belonging to the citizen in five villages around the Sidiangkat Village -- the place of several poultries was found died suddenly.
Was not difficult to gather poultries because the voluntary citizen gave the chicken and kept birds to be destroyed.
The chicken and the birds were destroyed in the Sidikalang Subdistrict that be at a distance 10 kilometre from the Tualang Village.
The extermination of the poultry will continue to be carried out in the region that was located in a radius of one kilometre from the village that was expected to endemi bird flu
__________________
Last edited by sharon sanders; August 18, 2006, 08:59 AM.
Based on names, there seem to also be two 9 year olds. One, Ai Siti, is the confirmed case who died and is a neighbor of the two chldren now hospitalized in Bandung.
The other is Dea, daughter of Euis Lina. Both are also from Jolok and both have died.
Thus, assuming that Dea was not included in the 3 erleir deaths, the cluster would now be 11. Other than the three who died earlier, there are three clusters within the cluster.
Two cousins from Rankassalak (Index case who died and first confirmed, released case)
Confirmed 9F (dead) and 5F and 6F neighbors/cousin (in Bandung) from Jolok
Mother and daughter from Jolok (both dead)
Eti (32F from Jolok, but link to above cases unknown - hospitalized in Bandung)
I've got 8 (poss. 11):
Misbah (20M) - Rancasalak, Cikelet village - Umar's cousin - not confirmed - dead
Umar Aup (16/17M) - Rancasalak, Cikelet village - Misbah's cousin - confirmed H5N1
Ai Siti Amanah (9) - Jojok, Cikelet village - Ismawati's paternal cousin - confirmed H5N1 - dead
Ismawati 5(M?) - Jojok, Cikelet village - paternal cousin/neighbor of Ai - father Pendi, mother Omay - not confirmed
Santi (6/8F) - Jojok, Cikelet village - daughter of Iwan & Surilah - neighbor of Ai - not confirmed
Eti (35F) - Jojok, Cikelet village - not confirmed
Euis Lina (32/35?F) - Jojok(?) - (Ai's mother?) - not confirmed - dead
Dea (9F?) - Jojok village - Euis' daughter - not confirmed - dead
*Associated Press - 3 others died from the area & were buried before testing could be done
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
While it is possible that Euis Lina has two daughters, Ai and Dea, both age nine (twins), it seems equally possible that we are talking about two names for one child. No article I have noticed (in the little time I have had to study this) mentions that Euis Lina had TWO dead daughters, which would be natural to mention if it were the case. Each article mentions one or the other girl, but not both. Anybody else found evidence to the contrary?
While it is possible that Euis Lina has two daughters, Ai and Dea, both age nine (twins), it seems equally possible that we are talking about two names for one child. No article I have noticed (in the little time I have had to study this) mentions that Euis Lina had TWO dead daughters, which would be natural to mention if it were the case. Each article mentions one or the other girl, but not both. Anybody else found evidence to the contrary?
Although there are no stories suggesting there are twin sisters, there are stories suggesting there are two 30ish females (one dead and one alive), so there may also be two 9 year old daughters in seperate families (but all reports indicate the daughter(s) have died).
Metrotvnews.com, Jakarta: Health Minister, Siti Fadil -lah Supari admitted the number of bird flu casualties in Garut, West Java, improved.However, he continue to stressed the spreading of the bird flu virus from the poultry to the poultry, not antarmanusia.Because of this, Siti stated the ineffective compound to prevent the spreading."That effective was to do the survey all over Garut, found hot patients, the cough, pilek, immediately was given medicine."And, did obserfasi to know the possibility H5N1 or not, said Siti in Jakarta, on Friday (18/8).Siti also added so that the community educated to report if having the poultry that died suddenly in his environment."Sometimes also the community hid if having the poultry that died."In a frightened manner eventually if there are those that was destroyed.After his neighbour died just was found out, he said.Siti also said up to now the Department of the Health is still striving for the production of the serum antiflu birds.Estimated the serum could be used by this year end.(BEY)</PRE>
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